Kathleen Suzanne Jansen
Individual provider Active NPI Massage Therapist · Apalachicola, FL
NPI 1013564400 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1013564400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MM32542 (FL)
- Practice address
- 196B Dr Frdrck Humphrie St
Apalachicola, FL 32320-1470 - Phone
- (850) 653-6719
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM32542 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MM32542 | FL | Yes |
Addresses
Primary practice location
196B Dr Frdrck Humphrie St
Apalachicola, FL 32320-1470
Mailing address
143 4TH St
Apalachicola, FL 32320-1753
Phone (850) 653-6719
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Apalachicola |
Other providers in Apalachicola, FL
- Betty Fugate
- Amy Lynn Hamilton
- Holiday CVS LLC
- Inspired Wellness, Inc
- Cheava L Jacks
- Angela M Knox
- Richard Lehnert
- Robert Lyles
- Joda Garvin Lynn
- Sarah L Madson
All providers in Apalachicola, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.